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NPI Verification

National Provider Identifier: 1861740151

Avera Queen of Peace

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Urology

Code: 208800000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

1115 E 5TH AVE

MITCHELL, SD 573012917

Phone: 605-996-5553

NPI Enumeration Date

August 17, 2012

NPI Number

1861740151

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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